Assessment of Quality of Life Before and After Ileostomy Reversal After Low Anterior Resection for Rectal Cancer

Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 174 - 6, 19.10.2023

Nurullah Damburacı , Barış Sevinç

https://doi.org/10.37990/medr.1355697

Abstract

Aim: Low Anterior Resection Syndrome negatively affects patients’ quality of life after surgery for rectal cancer. Temporary loop leostomy is preferred to avoid anastomosis leakage related problems. Aim of this study is to evaluate Patients’ quality of life before and after ileostomy reversal.
Material and Methods: Patients with laparoscopic low anterior resection with protective loop ileostomy were included in the study. Before and after the reversal of the ileostomy quality of life assessment was done by EORTC QLQ-C30 scale.
Results: Sixty two patients with temporary loop ileostomy after laparoscopic low anterior resection for rectal cancer were included in the study. Our study population showed better results in General health scale and social function scale after ileostomy reversal. However; there is no significant difference in general function and general symptom scale.
Conclusion: Temporary ileostomy can negatively affect patients’ quality of life and patients have higher quality of life scores after ileostomy reversal.

Keywords

rectal cancer , quality of life , low anterior resection , ileostomy

Ethical Statement

Ethical Committee approval was obtained from local ethical committee.

References

• Christensen P, Im Baeten C, Espín-Basany E, et al. Management guidelines for low anterior resection syndrome - the MANUEL project. Colorectal Dis. 2021;23:461-75.
• Nguyen TH, Chokshi RV. Low anterior resection syndrome. Curr Gastroenterol Rep. 2020;22:48.
• Gujral S, Conroy T, Fleissner C, et al. Assessing quality of life in patients with colorectal cancer: an update of the EORTC quality of life questionnaire. Eur J Cancer. 2007;43:1564-73.
• Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A, on behalf of the EORTC Quality of Life Group. The EORTC QLQ-C30 Scoring Manual (3rdEdition). Published by: European Organisation for Research and Treatment of Cancer, Brussels 2001.
• Akduran F, Durna Z. Turkish validation and reliability of the EORTC QLQ-CR29 Quality of Life Scale for colorectal cancer. Turk J Gastroenterol. 2021;32:357-64.
• Meurs J, Dumoulin X, De Sutter N, et al. Low anterior resection syndrome (LARS) and quality of life after colectomy. Int J Colorectal Dis. 2023:38;180.
• Ridolfi TJ, Berger N, Ludwig KA. Low anterior resection syndrome: current management and future directions. Clin Colon Rectal Surg. 2016;29:239-45.
• Ayaz-Alkaya S. Overview of psychosocial problems in individuals with stoma: a review of literature. Int Wound J. 2019;16:243-9.
• Dulskas A, Petrauskas V, Kuliavas J, et al. Quality of life and bowel function following early closure of a temporary ileostomy in patients with rectal cancer: a report from a single-center randomized controlled trial. J Clin Med. 2021;10:768.
• Deputy M, Worley G, Patel K, et al. Long-term outcome and quality of life after continent ileostomy for ulcerative colitis: a systematic review. Colorectal Dis. 2021;23:2286-99.
• Zewude WC, Derese T, Suga Y, Teklewold B. Quality of life in patients living with stoma. Ethiop J Health Sci. 2021;31:993-1000.